1. No difference in complications between two-week vs. six-week duration of sling immobilization after reverse total shoulder arthroplasty
- Author
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Matthew G. Alben, DO, Neil Gambhir, DO, Matthew T. Kingery, MD, Robert Halpern, DO, Aidan G. Papalia, MBA, Young W. Kwon, MD, PhD, Joseph D. Zuckerman, MD, and Mandeep S. Virk, MD
- Subjects
Reverse ,Total ,Shoulder ,Joint ,Arthroplasty ,Postoperative ,Orthopedic surgery ,RD701-811 ,Diseases of the musculoskeletal system ,RC925-935 - Abstract
Background: The purpose of our study was to compare the outcomes and complications after a two- vs. six-week duration of sling immobilization following reverse total shoulder arthroplasty (rTSA). Methods: We conducted a retrospective review from our institutional database on 960 patients treated by primary rTSA between 2011 and 2021. Patients were separated into two cohorts of postoperative sling immobilization (a two-week and six-week group). Multivariate analysis was conducted to evaluate what factors were associated with patients experiencing either a postoperative complication or requiring reoperation. Results: A total of 276 patients were instructed to keep their operative arm in a sling for six weeks postoperatively, and 684 patients discontinued use at two weeks. There was no difference in postoperative complication rate (15.0% vs. 12.0%, P = .21), dislocation rate (P = .79), acromion stress fractures (P = .06), implant loosening (P = .15), and periprosthetic joint infections (P = .48) between the six- and two-week sling cohorts. In the immediate 90-day postoperative time period, no difference was seen in the reoperation rates (P = .73). Discussion: Shorter duration of sling immobilization (two weeks) does not incur additional risk of complications compared to standard duration (six weeks) of sling immobilization following rTSA.
- Published
- 2023
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